Indiana
Professional Licensing Agency
Techsin T. Ty
Controlled Substance Registration - Physician
License number
01046041B
Date granted
12/05/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Community Internists and Associates. PC, 3505 S. Reed Road, Kokomo IN 46902
indianalicensing.org
ID 5877409
LAST UPDATED 2024-04-08 18:21:10 UTC
LAST UPDATED 2024-04-08 18:21:10 UTC
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